Individual provider Active NPI

Lucy Ogbu-Nwobodo, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1700264116
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A181859 Issued in CA
Practice address
1930 Market St
San Francisco, CA 94102-6228
Phone
(415) 476-3902
NPI assigned
May 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 276929 MA
Psychiatry Physician 2084P0800X A181859 CA Primary

Addresses

Primary practice location

1930 Market St
San Francisco, CA 94102-6228

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210729003701 MA Practitioner - Psychiatry 9537410774 Reassigns benefits to 1 organization
I20221207002344 CA Practitioner - Psychiatry 9537410774 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A181859CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Oct 25, 2022 Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Psychiatry Current Accepting new patients
City & County of San Francisco CurrentSince Oct 25, 2022 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jul 2, 2021 Accepting new patients
City and County of San Francisco CurrentSince Oct 25, 2022 Accepting new patients
UCSF Deaf Community Counseling Services CurrentSince Oct 25, 2022 Accepting new patients

Locations

1930 Market St
San Francisco, CA 94102
Phone (415) 476-3902

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1700264116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026228",
            "telephone_number": "415-476-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBU-NWOBODO",
        "first_name": "LUCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "276929",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A181859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.